NICHOLAS MATTHEW FURIASSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054839

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

MATTHEW

Last Name

FURIASSE

Business Name

NICHOLAS MATTHEW FURIASSE MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

NAPERVILLE

State

Zip

60540

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011